SPACI YOUTH EMPOWERMENT PROJECT
Participant Registration Form
Name:
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Gender
Payment
Course List
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EVENT DECORATION
$
Free
CAKE MAKING
$
Free
PASTRY/SMALL CHOPS
$
Free
GRAPHICS DESIGN
$
Free
WEBSITE DESIGN
$
Free
VIDEO EDITING
$
Free
PHOTOGRAPHY
$
Free
DRIVING
$
Free
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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